NCLEX NCLEX-PN
2024 PN NCLEX Questions
1. Quality is defined as a combination of all of the following except:
- A. conforming to standards.
- B. performing at the minimally acceptable level.
- C. meeting or exceeding customer requirements.
- D. exceeding customer expectations.
Correct answer: performing at the minimally acceptable level.
Rationale: The correct answer is 'performing at the minimally acceptable level.' Quality is about meeting or exceeding customer requirements and expectations, as well as conforming to standards. The term 'performing at the minimally acceptable level' implies just meeting the minimum requirements, which falls short of the comprehensive definition of quality in terms of customer satisfaction and excellence. Therefore, this choice is the exception when defining quality. Choices A, C, and D align with the definition of quality as they all involve meeting or surpassing certain criteria for customer satisfaction and product excellence, which are essential components of quality management.
2. Which is the proper hand position for performing chest vibration?
- A. cup the hands
- B. use the side of the hands
- C. flatten the hands
- D. spread the fingers of both hands
Correct answer: C
Rationale: The correct hand position for performing chest vibration is to flatten the hands. By flattening the hands over the area of the body where chest percussion is applied, vibrations can be conducted effectively to the chest to help loosen secretions. Cupping the hands may dampen vibrations, using the side of the hands reduces the surface area in contact with the chest, and spreading the fingers can lead to uneven pressure distribution. Therefore, flattening the hands provides the necessary contact and surface area to perform chest vibration efficiently.
3. Nonpharmacological pain management involves all of the following except:
- A. hypnosis alone.
- B. psychological care, including support groups.
- C. physical and psychological modalities.
- D. pain-reducing drugs only.
Correct answer: pain-reducing drugs only.
Rationale: Nonpharmacological pain management encompasses various strategies like hypnosis, psychological care, and physical and psychological modalities. The correct answer is 'pain-reducing drugs only' because nonpharmacological approaches do not solely rely on medications for pain management. Options A, B, and C are all valid components of nonpharmacological pain management. Hypnosis can help manage pain, psychological care including support groups can provide emotional support and coping strategies, and physical and psychological modalities encompass a wide range of interventions beyond just medication.
4. A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:
- A. a tort
- B. a crime
- C. a misdemeanor
- D. a felony
Correct answer: a tort
Rationale: A tort is a civil wrong committed by one person against another person (or against the property of another) that might result in civil trials. Unlike crimes, which are considered wrongs against the public, torts are personal wrongs. Misdemeanors are crimes punishable with fines or imprisonment for less than one year, whereas felonies are serious crimes punishable by imprisonment for more than one year in a State or Federal penitentiary. Therefore, the correct answer is a tort as it aligns with the definition of a civil wrong that leads to potential civil trials, distinguishing it from crimes, misdemeanors, and felonies.
5. The nurse is working the same shift two days in a row. On the first of these days, while caring for one assigned client, the client says, “Will you promise me you will be my nurse tomorrow?” Which response is most appropriate?
- A. “Yes, I promise you I will be your nurse during my shift tomorrow.”
- B. “You will need to speak to my supervisor about this request.”
- C. “While I cannot promise that I will be your nurse tomorrow, I can talk to the charge nurse about this request.”
- D. “Because of confidentiality, I cannot discuss tomorrow’s assignments with you.”
Correct answer: “Because of confidentiality, I cannot discuss tomorrow’s assignments with you.”
Rationale: The most appropriate response is to maintain confidentiality regarding work assignments. It is crucial to uphold patient privacy and not disclose information about staff schedules or assignments. Choices A, B, and C involve promising or redirecting the patient, which is not suitable in this situation. Choice D respects confidentiality and is the most professional response in this scenario.
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